Individual
DR. HEDRICK RIVERO
Active
Individual
DR. HEDRICK RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
46244
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043454000
—
FL
01
—
47715
BLUE CROSS BLUE SHIELD
FL
01
—
P00421457
RAILROAD MEDICARE
FL
Enumeration date
05/23/2005
Last updated
05/16/2008
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